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1879 Rochester St.

Lima, NY 14485 United States

(585) 582-1866

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Online Forms

Crossroads Chiropractic and Health Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This let's us know the history and current state of your health. What questions, concerns, goals, regardingwellness can we help you with? Let us know!

CLICK HERE

Neck Pain and Disability

CLICK HERE

Lower Back Pain and Disability

CLICK HERE

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Wholesale pricing on all NutraMetrix / Isotonix Products!

Featured Services

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Office Hours

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

1:00 pm-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

1:00 pm-6:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

9:00 am-11:00 am

Sunday:

Closed

*New Referral Program*

Refer 3 new patients to our office and get a free adjustment with Dr. Joe!

Locations

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